[Resolved] Aditya Birla Memorial Hospital — Claim amount 79553/- and approval amount 78803/- why taken 9452/- | |||||
Search results: Claim id: 92419468 Claim details: Claim id: 92419468 Claim amount: rs.79, 553/- Approved amount: rs.78, 803/- Admission date: 09-jun-2016 Claim received date: 12-jul-2016 Claim denied date: - Claim type: cashless Pre-authorized amount: rs.78, 803/- Claim status: claim approved Discharge date: 13-jun-2016 Claim approved date: 12-jul-2016 Hospital name: aditya birla health services ltd Denial reasons None Missing documents None Deduction details Non payable amount: rs.750/- Reason: nme + rr excess Attachment for tail mail From: "sandesh r" Sent: thu, 14 jul 2016 13:26:11 To: Subject: re: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear prahsanth, We have processed your claim documents as per your policy condition, please check with hospital for extra payment collection. Thanks and regards _ Sandesh r Medi assist india tpa pvt ltd. 4th floor ibc, knowledge park, tower d, No 4/1, bannerghatta road, Near dairy circle –bangalore 29 Toll free number :[protected] /[protected] Track your claims : http://track. medibuddy.in Download e card : http://ecard. medibuddy.in Track through sms : claims and claimno sms to [protected] From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com] Sent: thursday, july 14, 2016 1:08 pm To: sandesh r Subject: re: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear sandesh, Category break up Charge type Bill amount Payable amount Non pay amount Non payable reason Hospital charges 0 0 0 Investigation & lab charges 0 0 0 Non taxable pharmacy & medicine charges 0 0 0 Miscellaneous charges 79553 78803 750 Nme + rr excess Consultant charges 0 0 0 Package 0 0 0 Total 79553 78803 750 Ee its amount approve is 78803/- Then why show me Surgery charges 12202 2000 10202 Claiming for nmes & already settled amount in cashless rs.10202 (nme-oxygen mask rs.150; handrub rs.165; microshild rs.105; sponge rs.375; administrative surcharge rs.5934/-) Claiming for nmes & already settled amount in cashless rs.10202/- Its my cash witch is that day pay then why show me this i will paid 92419468 claim And also ones tailing you i will call that time mediassit they said sir, you paid and send reimbursement process Then know you show me this all!!! I am proper mentioned my family states Please diposit my 9452/- as per your break up[protected]=9452) Regards, Prashant From: "sandesh r" Sent: thu, 14 jul 2016 12:25:33 To:, "'corporateresponse '", "'info '" Subject: re: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear prashanth, Your cashless claim is processed and approved for rs.78803/-, same will be transferred to hospital bank account shortly, check with hospital. Claim no. Policy number Policy holder Emp code Emp name Relation Maid Beneficiary Clm type Clm amt App amt Claim status 92419468 670100/34/15/04/00000002 Titan company limited 1067021 Prashant prakash kumbhar Self [protected] Prashant prakash kumbhar Cashless 79553 78803 App Category break up Charge type Bill amount Payable amount Non pay amount Non payable reason Hospital charges 0 0 0 Investigation & lab charges 0 0 0 Non taxable pharmacy & medicine charges 0 0 0 Miscellaneous charges 79553 78803 750 Nme + rr excess Consultant charges 0 0 0 Package 0 0 0 Total 79553 78803 750 Reimbursement claim is processed and settled for rs.5554/-, same has been transferred to titan account on 7th july 16. Claim no. Policy number Policy holder Emp code Emp name Relation Maid Beneficiary Clm type Clm amt App amt Claim status 92495045 670100/34/15/04/00000002 Titan company limited 1067021 Prashant prakash kumbhar Self [protected] Prashant prakash kumbhar Reimbursement 15830 5554 Set Bill break up: Category break up Charge type Bill amount Payable amount Non pay amount Non payable reason Investigation & lab charges 2400 2400 0 Surgery charges 12202 2000 10202 Claiming for nmes & already settled amount in cashless rs.10202 (nme-oxygen mask rs.150; handrub rs.165; microshild rs.105; sponge rs.375; administrative surcharge rs.5934/-) Consultant charges 550 550 0 Pharmacy & medicine charges (taxable) 678 604 74 Mouth wash rs.74/- Total 15830 5554 10276 Thanks and regards _ Sandesh r Medi assist india tpa pvt ltd. 4th floor ibc, knowledge park, tower d, No 4/1, bannerghatta road, Near dairy circle –bangalore 29 Toll free number :[protected] /[protected] Track your claims : http://track. medibuddy.in Download e card : http://ecard. medibuddy.in Track through sms : claims and claimno sms to [protected] From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com] Sent: thursday, july 14, 2016 12:11 pm To: corporateresponse ; sandesh r ; info Subject: fw: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear team, What is my 10202/- amount claim states Regards, Prashant From: "sandesh r" Sent: mon, 11 jul 2016 18:04:10 To: Subject: re: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear prashanth, Please share your contact number. Thanks and regards _ Sandesh r Medi assist india tpa pvt ltd. 4th floor ibc, knowledge park, tower d, No 4/1, bannerghatta road, Near dairy circle –bangalore 29 Toll free number :[protected] /[protected] Track your claims : http://track. medibuddy.in Download e card : http://ecard. medibuddy.in Track through sms : claims and claimno sms to [protected] From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com] Sent: monday, july 11, 2016 5:59 pm To: sandeshr Subject: fw: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear sandesh, What is my states my 92419468 Regards, Prashant From: "sandesh r" Sent: sat, 09 jul 2016 18:04:15 To: Cc: Subject: re: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear prashanth, Your cashless claim is under process, we yet to receive original documents from hospital. Reimbursement claim is processed and approved for rs.5554/-, same amount will credit to titan company account shortly. Thanks and regards _ Sandesh r Medi assist india tpa pvt ltd. 4th floor ibc, knowledge park, tower d, No 4/1, bannerghatta road, Near dairy circle –bangalore 29 Toll free number :[protected] /[protected] Track your claims : http://track. medibuddy.in Download e card : http://ecard. medibuddy.in Track through sms : claims and claimno sms to [protected] From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com] Sent: saturday, july 09, 2016 5:46 pm To: [protected]@mediassistindia.com; [protected]@mediassistindia.com Subject: fw: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear team, As trial mail please revert me, still i have waiting, when you will provide me my total claim amount... Regards, Prashant From: "prashant kumbhar" Sent: sat, 09 jul 2016 14:42:12 To: "[protected]@mediassistindia.com", "[protected]@mediassistindia.com" Subject: fw: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear team, You proper maintained (your cashless claim is processed and approved for 78803rs... nme expenses 750 rs... then what is the issue?..) O i am paying 10202/- on 13-jun-2016 on dated total amount is-79553/- your approval amount is-78803/- That time you maintained proper, also that time i call customer care when i am paying 10202/- your employee tailing me sir not and issue you pay and submit reimbursement it then why show me all!!! If you that time tiling me you pay only 750/- Not any issue!! "so you sate my place and think" I dont know i want refund my 15080/- as per your billing system and my billing amount Thanks and regards, Prashant From: "[protected]@mediassist" Sent: sat, 09 jul 2016 13:24:27 To: [protected]@rediffmail.com Cc: sandeshr Subject: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear sir, Kindly find the below details of your claim no: 92495045 Claim results (prashant prakash kumbhar - employee code 1067021) Claim # Related preauth Benef name /gender/ relation Received on Type / status Claimed amt Appr. amt 92495045 Prashant prakash kumbhar / m / self [protected] ×latest pa status "style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;"data-mce-href="http://proclaim. mediassistindia.com/"data-mce-style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;"reimbursement / approved Rs.15830/- Rs.5554/- Bill details: Bill no. Bill date Bill type Bill description Amount Non-payable amount Non-payable reason Payable amount 0 Jun 13 2016 12:00 am Consultant charges Consultation Rs.550/- Rs.0/- Rs.550/- 0 Jun 13 2016 12:00 am Surgery charges Other surgical item charges Rs.12, 202/- Rs.10, 202/- Claiming for nmes & already settled amount in cashless rs.10202 (nme-oxygen mask rs.150; handrub rs.165; microshild rs.105; sponge rs.375; administrative surcharge rs.5934/-) Rs.2, 000/- 0 Jun 13 2016 12:00 am Investigation & lab charges Lab Rs.2, 400/- Rs.0/- Rs.2, 400/- 0 Jun 13 2016 12:00 am Pharmacy & medicine charges (taxable) Medicines_drugs Rs.678/- Rs.74/- Mouth wash rs.74/- Rs.604/- With regards, Prabakar. c Team medi assist From:"kumbharpra111" To:"titan" Sent: saturday, july 9, 2016 12:36:28 pm Subject: fw: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear team, Then why taken 10202/- Also why stop my rest amount 15830/- As per your claim no 92495045 On dated 24-jun-2016, today is 9-july -2016 As per your policy working 7 day process, then you count 24-jun to till date and please red my all mails witch is Ending to you then reply Regards, Prashant kumbhar From:"[protected]@mediassist" Sent: sat, 09 jul 2016 11:02:01 To: [protected]@rediffmail.com Cc: sandeshr Subject: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear sir, Claim results (prashant prakash kumbhar - employee code 1067021) Claim # Related preauth Benef name /gender/ relation Received on Type / status Claimed amt Appr. amt 92419468 92430671, 92419467 Prashant prakash kumbhar / m / self [protected] ×latest pa status" style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;" data-mce-href="http://proclaim. mediassistindia.com/" data-mce-style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;"cashless / in process (processed document awaited) Rs.79553/- Rs.78803/- Your cashless claim is processed and approved for 78803rs... nme expenses 750 rs... then what is the issue?.. With regards, Team medi assist From: "corporateresponse" To: "titan" Cc: [protected]@rediffmail.com Sent: saturday, july 9, 2016 10:49:01 am Subject: fw: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear team Please go through the below trial mail & do the needful. Thanks & regards Medi assist team From: prashant kumbhar Sent: friday, july 08, 2016 1:36 pm To: corporateresponse ; info Subject: fw: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear team, Why are you lat process my statement are you working or not End me reply asap, Regards,. Prashant From: "prashant kumbhar" Sent: wed, 06 jul 2016 22:41:28 To: "corporateresponse", "info" Subject: fw: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear team, Inform to you your end amount approval is - 78803/- cash less no[protected] Then know you why showing 10202/- in staled, my hospital bill is-79553/- your end approval amount is-78803/- When i paid 10202/- that time i call your customer care that time your end tailing me sir you paid and Reimbursement clime that time you received you know you show my clime statement 5554/-, are you proper Training your employee or customer proper send sms mail i am frosted your end and i relay observed your Company is bool set you are not handled your company, not reply to at the time your commitment see my all Mails and reply Proper as you work in one corporate specials customer sport Pls do the needful Regards, Prashant From: "corporate response" Sent: sat, 02 jul 2016 12:33:33 To: Cc: "info medi assist" Subject: re: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear sir/madam The claim[protected] is under process. Thanks & regards Medi assist team From: info Sent: thursday, june 30, 2016 3:56 pm To: [protected]@mediassistindia.com');" [protected]@mediassistindia.com Subject: fwd: fw: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected] Dear team, Kindly find the below trail mail and do the needful. Regards, Medi assist support team On wed, 29 jun at 3:19 pm, prashant kumbhar wrote: Dear team, You provide me new clame number why and where is your commitment 24 hours reply, Also tickt numer, l am sending you all my documents then why delay your commitment date is 26 june, also hospital provided all details then why should tack time your end I already manstined my family states So pls Diposit my cash in my account asap Regards Prashant p kumbhar Note: forwarded message attached — original message — From: info [protected]@mediassistindia.com on fri, 24 jun 2016 20:23:49 +0530 To: [protected]@rediffmail.com Subject: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected] - 388819 Was this information helpful? | |||||
Jul 15, 2016 Complaint marked as Resolved not any reply at the time by aditya birla hospital end my cell number is 9545402607
all document in hospital one month 2 day but not yet shallow my problem that time cashier tailing me sir you pay 10202/- that time i am not filling wall so that time i not asking any question
when i filling good that time i checking my all documents hospital taken my 9452/- extra amount
also description claim amount is-79553 approved amount is-78803/- that time hospital only taken
750/- amount but they will taken 9452/- extra amount
why? Aditya Birla Memorial Hospital customer support has been notified about the posted complaint. | |||||
Add a Comment | |||||
33%
Complaints
43
Pending
5
Resolved
11
+91 20 3071 7615
Aditya Birla Hospital Marg, Chinchwad, Pune, Maharashtra, India - 411033
Post your Comment